2026-08-14T09:24:25+00:00 2025-09-30 135381590 BDO USA ONE INTERNATIONAL PLACE BOSTON MA 02110 990 2024-10-01 222472997 BROCKTON HOSPITAL INC BROC 5089417000 680 CENTRE STREET BROCKTON MA 02302 ROBERT J HAFFEY PRESIDENT/CEO 5089417000 2026-08-14 true true JAKE COOK P01240455 6174220700 2026-08-06 2024 2025-03-06 01:10:19Z ROBERT J HAFFEY 680 CENTRE STREET BROCKTON MA 02302 511426002 false X WWW.SIGNATURE-HEALTHCARE.ORG X 1983 MA SIGNATURE HEALTHCARE BROCKTON HOSPITAL IS A COMMUNITY-BASED NOT-FOR-PROFIT TEACHING HOSPITAL SERVING MORE THAN 460,000 RESIDENTS IN MORE THAN 20 SOUTHEASTERN MASSACHUSETTS COMMUNITIES. THE HOSPITAL HAS 216 LICENSED BEDS AND PROVIDES A FULL RANGE OF CLINICAL SERVICES INCLUDING MEDICAL/SURGICAL, PEDIATRICS, OBSTETRICS, INPATIENT AND OUTPATIENT PSYCHIATRY, RADIATION, AND MEDICAL ONCOLOGY, CARDIAC CATHETERIZATION, LEVEL II NURSERY AND MAGNETIC RESONANCE IMAGING. 20 15 2269 16 4537333 0 2824918 3408578 163580411 354946731 3780027 6192615 211576523 123728423 381761879 488276347 0 0 0 136975435 216880204 0 0 0 160692670 270413339 297668105 487293543 84093774 982804 450586871 474712494 221596123 235368909 228990748 239343585 SEE SCHEDULE O false false 458473971 473566929 BROCKTON HOSPITAL IS AN ACUTE CARE HOSPITAL LICENSED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH TO OPERATE 216 ACUTE CARE BEDS (COMPOSED OF 131 MEDICAL/SURGICAL, 16 INTENSIVE CARE, 8 PEDIATRIC, 20 OBSTETRIC, 22 PSYCHIATRIC), AND 19 BASSINETS (COMPOSED OF 13 WELLINFANT AND 6 SPECIAL CARE). THE HOSPITAL OFFERS A COMPREHENSIVE RANGE OF HEALTH CARE SERVICES TO MEET DIVERSE COMMUNITY NEEDS INCLUDING EMERGENCY CARE, ACUTE CARE (INCLUDING MEDICAL/SURGICAL, OBSTETRICS, PEDIATRIC, PSYCHIATRIC, CARDIAC, AND CANCER CARE. THE HOSPITAL PROVIDES FREE CARE TO THOSE WHO ARE UNABLE TO PAY, SPONSORS FREE HEALTH SCREENINGS, VARIOUS SUPPORT GROUPS AND EDUCATIONAL PROGRAMS, INCLUDING PUBLIC HEALTH EDUCATION, WELLNESS PROGRAMS AND THE TRAINING OF HEALTH PROFESSIONALS SUCH AS FIRST RESPONDER EDUCATION AND TRAINING. DURING THE YEAR ENDED SEPTEMBER 30, 2025 THE HOSPITAL HAD 13,412 TOTAL DISCHARGES AND OBSERVATIONS, 44,180 TOTAL PATIENT DAYS, AND 261,207 OUTPATIENT CLINIC VISITS. THE HOSPITAL'S EMERGENCY DEPARTMENT HAD 53,920 VISITS DURING THE FISCAL YEAR AND IS OPEN 24 HOURS A DAY, EVERY DAY OF THE YEAR AND PROVIDES CARE REGARDLESS OF ONE'S ABILITY TO PAY. 458473971 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false false true false false false false false true false false false false true 191 0 true 2269 true true true false false false false false false false false false false false X 20 15 false false false false true false false true true false false false true true true true true true true true true true MA X X ROBERT J HAFFEY 5089417000 680 CENTRE STREET BROCKTON MA 02302 DAVID M OFFUTT VICE CHAIRMAN, BOARD OF TRUSTEES 0.5 0.5 X X 0 0 0 JOSEPH L TANSEY CHAIRMAN, BOARD OF TRUSTEES 0.5 0.5 X X 0 0 0 ROBERT J HAFFEY CHIEF EXECUTIVE OFFICER; PRESIDENT & CLERK 50.0 3.0 X X 914669 0 107284 CLARA MIRANDA DIRECTOR 0.5 0.5 X 0 0 0 DALE ELLENBERG MD DIRECTOR 0.5 0.5 X 0 0 0 DAVID DRINKWATER MD PHYSICIAN, TRUSTEE 1.0 52.0 X 0 722543 46381 DAVID F ENGELKEMEYER DIRECTOR 0.5 0.5 X 0 0 0 DEEPTI SESHADRI MD PRESIDENT, MEDICAL STAFF (UNTIL 01/25) 1.0 52.0 X 0 295300 5954 EDWARD SMITH DIRECTOR 0.5 0.5 X 0 0 0 FRED NICCOLI CHAIRMAN, DEVELOPMENT OFFICE 0.5 0.5 X 0 0 0 JAMES F LEARY DIRECTOR 0.5 0.5 X 0 0 0 JOHN TWOHIG DIRECTOR 0.5 0.5 X 0 0 0 JOSEPH P DRIER III IMMEDIATE PAST CHAIRMAN 0.5 0.5 X 0 0 0 LAURA GRIFFIN MD PRESIDENT, MEDICAL STAFF (EFF. 02/25)) 1.0 52.0 X 0 502353 7525 LUKE MCCABE DIRECTOR 0.5 0.5 X 0 0 0 MARIA S HARRIS TRUSTEE-AT-LARGE 0.5 0.5 X 0 0 0 MICHAEL J SULLIVAN DIRECTOR 0.5 0.5 X 0 0 0 MICHAEL L DERN MD DIRECTOR 1.0 51.0 X 0 91495 1830 PATTI ROLAND DIRECTOR 0.5 0.5 X 0 0 0 SYDNE MARROW DIRECTOR 0.5 0.5 X 0 0 0 VINCENT MARTURANO DIRECTOR 0.5 0.5 X 0 0 0 JASON M RADZEVICH CHIEF FINANCIAL OFFICER & TREASURER 50.0 3.0 X 549088 0 73596 KIMBERLY WALSH SENIOR VICE PRESIDENT/ CHIEF OPERATING OFFICER 50.0 1.0 X 428515 0 45804 BEVERLY CAPECE ASSOCIATE VICE PRESIDENT FINANCE 40.0 12.0 X 245286 0 57449 JEFFREY C MILLER VICE PRESIDENT DEVELOPMENT 50.0 1.0 X 272406 0 53727 JUSSI J MAIJALA CHIEF HUMAN RESOURCES OFFICER 40.0 10.0 X 372310 0 37778 KAREN E MURPHY SENIOR VICE PRESIDENT, CHIEF LEGAL OFFICER 50.0 3.0 X 481678 0 27769 MELISSA DEMAYO VICE PRES. QUALITY, CHIEF QUALITY OFFICER (UNTIL 4/17/25) 50.0 2.0 X 258855 0 44564 3522807 1611691 509661 262 false true false MATRIX ANESTHESIA PD 1342 BELMONT STREET SUITE 205 BROCKTON MA 02302 PHYSICIAN SERVICES 10181543 CORNERSTONE HEALTHSOLUTIONS LLC 1 BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 SPECIALTY PHARMACY SERVICES 5416193 N&A 1880 ASHLAND CITY ROAD CLARKSVILLE TN 37043 DISASTER RECOVERY CLEANING 1907524 HUEMAN PEOPLE SOLUTIONS LLC 320 1ST ST N SUITE 101 JACKSONVILLE BEACH FL 32250 RECRUITER 1572438 EQUITY INDUSTRIAL SOUTHEAST LP 20 PICKERING ST SUITE 200 NEEDHAM MA 02492 REAL ESTATE DEVELOPER 1256467 43 3275802 132776 3408578 PATIENT SERVICE REVENUE 622110 333421491 333421491 INTERCOMPANY REVENUE 622110 14202605 14202605 SCHOOL OF NURSING 622110 2995473 2995473 INTERCOMPANY RENT 622110 2065164 2065164 NONPATIENT LAB REVENUE 541380 251 251 2261747 2261747 0 0 354946731 4342165 4342165 570892 570892 0 570892 570892 24940330 59775 23134795 14860 1805535 44915 1850450 1850450 PHARMACY 622110 69275999 64738917 4537082 FIRE RELATED RECOVERIES 622110 42092734 42092734 FLOOD RELATED RECOVERIES 622110 253341 253341 11535457 11535457 0 0 123157531 488276347 473566929 4537333 6763507 2118956 2118956 167704540 156864515 10840025 13711933 12480281 1231652 21487019 19852429 1634590 11857756 11068055 789701 5575739 5575739 1682549 1682549 451680 26680 425000 108825 108825 313787 313787 0 0 0 0 760710 10198 750512 4476238 3677402 798836 2321184 2140794 180390 8415297 7817976 597321 204505 111123 93382 3511171 3230277 280894 17760549 16339705 1420844 3143286 3028643 114643 DRUGS AND MEDICATIONS 65615740 65615740 MD CONTRACTED 44081763 44081763 PURCHASED SERVICES 41519429 38816999 2702430 TEMPORARY HELP 27078208 27078208 43392679 40657444 2735235 0 487293543 458473971 28819572 0 3165 2918 52724479 46575000 20499494 31827405 0 0 1344708 1546013 6933300 7273343 11307863 21084037 381491633 183067331 196610328 198424302 6883858 7406021 0 990000 990000 153289676 159583455 450586871 474712494 80589570 91732123 6623264 6924207 65413610 61887986 0 8700000 8335000 60269679 66489593 221596123 235368909 X 214718673 228258441 14272075 11085144 228990748 239343585 450586871 474712494 X 982804 3698005 5672028 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 60000 false true 48825 108825 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY BROCKTON HOSPITAL PAID A LOBBYING FIRM $60,000 DURING FISCAL YEAR 2025 TO LOBBY ON ITS BEHALF ON VARIOUS FEDERAL AND STATE LEGISLATIVE ISSUES IMPACTING THE ORGANIZATION AND THE HEALTHCARE INDUSTRY AS A WHOLE. AS PART OF THE ORGANIZATION'S MEMBERSHIP IN THE MASSACHUSETTS AND AMERICAN HOSPITALS ASSOCIATION AND AMERICA'S ESSENTIAL HOSPITALS ASSOCIATION OF AMERICA $48,825 OF THE TOTAL AMOUNT OF DUES PAID TO THESE NOT-FOR-PROFIT ASSOCIATIONS WAS USED FOR LOBBYING ACTIVITIES. LOBBYING ACTIVITIES REPRESENT AN INSUBSTANTIAL PART OF THE ORGANIZATION'S ACTIVITIES. 3519569 3519569 237695028 83838334 153856694 13537762 7861805 5675957 121793549 87753768 34039781 4945725 3613424 1332301 198424302 BOARD-DESIGNATED INVESTMENTS 90662479 AMOUNTS DUE FROM THIRD-PARTY 23020675 RIGHT-OF-USE ASSETS 22486018 OTHER ASSETS 18844849 ASSET HELD UNDER SPLIT-INTEREST 2388303 ASSETS HELD AS COLLATERAL 2181131 159583455 FEDERAL INCOME TAXES AMOUNTS DUE TO THIRD-PARTY PAYORS 30293806 OTHER LONG-TERM LIABILITIES 22062268 CURRENT PORTION OF LONG-TERM DEBT 8273641 ACCRUED PENSION LIABILITY OTHER LIABILITIES 5859878 66489593 X 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE HOSPITAL QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. UNDER ASC 740, INCOME TAXES, AN ORGANIZATION MUST RECOGNIZE THE FINANCIAL STATEMENT EFFECTS OF A TAX POSITION TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. THE CORPORATION DOES NOT BELIEVE IT HAS TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS; IT HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. true true true X 300 true X true false true true 4279158 152362 4126796 0.00847 126071702 71968854 54102848 0.11103 24332857 22702392 1630465 0.00335 0 0 154683717 94823608 59860109 0.12284 342375 0 342375 0.00070 11992400 5827019 6165381 0.01265 19197961 16635032 2562929 0.00526 0 0 0 0.0 50000 0 50000 0.00010 0 0 31582736 22462051 9120685 0.01872 0 0 186266453 117285659 68980794 0.14156 0 0.0 1290 1290 0.00000 9350 9350 0.00002 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 10640 0 10640 0.00002 true 10641192 1102462 66728722 87039143 -20310421 X true true 1 1 SIGNATURE HEALTHCARE BROCKTON HOSPITAL 680 CENTRE STREET BROCKTON MA 02302 HTTPS://WWW.SIGNATURE-HEALTHCARE.ORG/ X X X X PSYCH SIGNATURE HEALTHCARE BROCKTON HOSPITAL 1 false false true X X X X X X X X X 25 true false false true X HTTPS://SIGNATURE-HEALTHCARE.ORG/COMMUNITY-BENEFITS X true 25 true HTTPS://SIGNATURE-HEALTHCARE.ORG/COMMUNITY-BENEFITS false true X 300.0 400.0 X X X X X true true X X X true X https://signature-healthcare.org/patients-visitors/financial-assistance/ X https://signature-healthcare.org/patients-visitors/financial-assistance/ X https://signature-healthcare.org/patients-visitors/financial-assistance/ X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1 FACILITY , 1 - SIGNATURE HEALTHCARE COMMUNITY HEALTH. THE 2025 SIGNATURE HEALTHCARE COMMUNITY HEALTH NEEDS ASSESSMENT SOLICITED THE INPUT OF A VARIETY OF COMMUNITIES WITHIN ITS SERVICE AREA, WITH A PARTICULAR FOCUS ON INDIVIDUALS AND GROUPS FACING SOCIAL, ENVIRONMENTAL, AND FINANCIAL INEQUITIES. SUCH QUALITATIVE INPUT PROVIDED IMPORTANT CONTEXT FOR THE QUANTITATIVE DATA THAT WAS COLLECTED AND ANALYZED. SIX FOCUS GROUPS WERE HELD, AS WELL AS FIVE KEY INFORMANT INTERVIEWS AND A COMMUNITY SURVEY. PARTICIPANTS RANGED SIGNIFICANTLY IN AGE, SOCIO-ECONOMIC STATUS, RESIDENCY, PRIMARY LANGUAGE, RACE, AND ETHNICITY. FEEDBACK FROM FOCUS GROUPS AND KEY INFORMANTS WERE CODED AND PRIORITIZED BASED ON FREQUENCY. SIGNATURE ARRIVED AT FOR KEY FOCUS AREAS FOR OUR IMPLEMENTATION PLANS BEGINNING WITH FISCAL YEAR 2026. THESE ARE 1) MENTAL AND BEHAVIORAL HEALTH AND SUPPORT, INCLUDING SUBSTANCE ABUSE, 2) SOCIAL DETERMINANTS OF HEALTH, WITH AN EMPHASIS ON ECONOMIC INSTABILITY, 3) HEALTHCARE ACCESS, AND 4) HEALTH OUTCOMES AND CHRONIC DISEASE. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 FACILITY , 1 - SIGNATURE HEALTHCARE BROCKTON HOSPITAL. MENTAL AND BEHAVIORAL HEALTH: MENTAL AND BEHAVIORAL HEALTH IS THE MOST PRESSING CONCERN, WITH RISING YOUTH ANXIETY, LONG WAITLISTS, AND PERSISTENT STIGMA CITED AMONG IMMIGRANT COMMUNITIES. THIS IS THE SECOND CONSECUTIVE COMMUNITY HEALTH NEEDS ASSESSMENT THROUGH WHICH SIGNATURE HEALTHCARE CONSTITUENTS INDICATED MENTAL HEALTH AS THEIR PRIMARY CONCERN. OUR GOAL IN COMING FISCAL YEARS WILL BE TO INCREASE THE MENTAL AND BEHAVIORAL HEALTH SERVICES AVAILABLE IN THE REGION AND TO MAKE THESE SERVICES MORE AVAILABLE FOR OUR COMMUNITY MEMBERS. THIS INCLUDES BUT IS NOT LIMITED TO EXPANDING ADULT INPATIENT PSYCHIATRIC SERVICES, PROVIDING CHILDREN, YOUTH AND ADULT PSYCHO-PHARM CONSULTS, INCREASING MEDICATION FOR ADDICTION TREATMENT (MAT) FOR PATIENTS WITH SUBSTANCE USE DISORDERS (SUD), CONTINUING AMBULATORY ADULT AND PEDIATRIC ANNUAL SCREENINGS FOR DEPRESSION. SOCIAL DETRIMENTS OF HEALTH: SOCIAL DETRIMENTS OF HEALTH, WITH AN EMPHASIS ON ECONOMIC INSTABILITY, WAS A PRESSING ISSUE TOUCHING MANY GROUPS WITHIN OUR COMMUNITIES. OUR GOALS IN THE COMING FISCAL YEARS WILL BE TO 1) IDENTIFY MORE COMMUNITY MEMBERS NEEDING ASSISTANCE WITH DAILY LIVING ISSUES THAT CAN AFFECT THEIR HEALTH, INCLUDING HOUSING AND FOOD INSECURITIES. 2) CONNECT INDIVIDUALS IN NEED FOR SERVICES TO IMPROVE THEIR WELL-BEING. 3) PROVIDE EDUCATIONAL AND CAREER OPPORTUNITIES FOR THOSE SEEKING STABLE AND WELL-PAYING NURSING CAREERS. WE WILL DO THIS THROUGH ACTIONS INCLUDING BUT NOT LIMITED TO THESE: SCREEN PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH VIA THE THRIVE SCREENING ASSESSMENT, ALLOCATE AND DISTRIBUTE EMERGENCY FUND ASSISTANCE, FOCUS ON THE GREATER BROCKTON REGION FOR RECRUITMENT FOR THE BROCKTON HOSPITAL SCHOOL OF NURSING, SUPPORT SHELTER FOR PATIENTS POST-HOSPITALIZATION, CONTRIBUTE TO BLESSINGS IN A BACKPACK, SUPPORT THE OLD COLONY YMCA'S CENTERS FOR FAMILY. HEALTHCARE ACCESS: HEALTHCARE ACCESS IS AN ISSUE FACING THE COMMUNITY AND A PRIORITY AREA BASED ON OUR MOST RECENT CHNA. OUR GOALS ARE TO IMPROVE TIMELY AND EASY ACCESS TO SIGNATURE HEALTHCARE SERVICES AVAILABLE FOR ALL WHO SEEK CARE REGARDLESS OF ANY PERSONAL CIRCUMSTANCES AND TO ADD SERVICES WHERE CURRENT HEALTHCARE ACCESS IS LIMITED OR UNAVAILABLE. THIS INCLUDES BUT IS NOT LIMITED TO ADDING PHARMACY SERVICES IN THE COMMUNITY AMID THE CLOSING OF MANY RETAIL PHARMACY SITES, INCREASE BEHAVIORAL HEALTH INPATIENT BEDS AND SERVICES TO LESSEN THE NUMBER OF PEOPLE BOARDING IN THE EMERGENCY DEPARTMENT AND TO DECREASE THE TIME FROM ARRIVAL AT THE ED TO INPATIENT ADMISSION, PROVIDE AND PROMOTE REMOTE MONITORING FOR PREGNANT WOMEN TO REDUCE TRIPS TO THE EMERGENCY ROOM, EXPAND MIDWIFERY SERVICES, MAXIMIZE APPOINTMENTS AVAILABLE TO PATIENTS, IMPROVE ACCESS TO TRANSPORTATION ASSISTANCE, PROVIDE YOGA CLASSES, PARTNER WITH COMMUNITY NON-PROFITS. HEALTH OUTCOMES AND CHRONIC DISEASE: HEALTH OUTCOMES AND CHRONIC DISEASE IS ALSO A PRIORITY AREA OF FOCUS. OUR GOAL IS TO PROVIDE TIMELY AND RELEVANT CARE TO HELP PREVENT, DETECT AND MANAGE CHRONIC DISEASE FOR ALL INDIVIDUALS IN OUR COMMUNITIES. THIS INCLUDES BUT IS NOT LIMITED TO SCREENINGS AND PRESENTATIONS TO EDUCATE AND DETECT CANCER AS EARLY AS POSSIBLE, RECRUIT ADDITIONAL PROVIDER TO EXPAND ASSISTANCE TO PATIENTS WITH POORLY CONTROLLED DIABETES, RECRUIT ADDITIONAL PROVIDER TO EXPAND SERVICES FOR PATIENTS WITH CHRONIC PULMONARY DISEASE, EXPAND PROVIDERS AND SERVICES FOR LOCAL CARDIOLOGY CARE, IDENTIFY SMOKERS AND IMPROVE ACCESS TO LOW DOSE CT SCREENING SCANS, EXPAND VASCULAR SERVICES LOCALLY IN PARTNERSHIP WITH BETH ISRAEL LAHEY HEALTH, PROACTIVELY SCREEN PATIENT DATABASES TO ASSIST WITH DIABETIC AND HYPERTENSION CARE NEEDS, EDUCATION THROUGH SENIOR CENTERS. 9 BRIDGEWATER - 545 BEDFORD STREET 545 BEDFORD ST BRIDGEWATER MA 02324 PRIMARY CARE EAST BRIDGEWATER - 1 DONALDS WAY 1 DONALDS WAY EAST BRIDGEWATER MA 02333 GENERAL CARE BROCKTON - 110 LIBERTY ST 110 LIBERTY ST BROCKTON MA 02301 GENERAL CARE BROCKTON - 178 QUINCY AVE 178 QUINCY AVE BROCKTON MA 02302 OFFICE BASED ADDICTION TREATMENT BROCKTON - 176 QUINCY AVE 176 QUINCY AVE BROCKTON MA 02302 OFFICE BASED ADDICTION TREATMENT BROCKTON - 650 CENTRE STREET 650 CENTRE STREET BROCKTON MA 02302 URGENT CARE EASTON - 31 ROCHE BROTHERS WAY 31 ROCHE BROTHERS WAY NORTH EASTON MA 02356 PRIMARY CARE, OBGYN, PEDIATRICS, LABRATORY, ORTHOPEDICS, X-RAY, AND ULTRASOUNDS RAYNHAM - 1215 BROADWAY 1215 BROADWAY RAYNHAM MA 02767 PRIMARY CARE, PODIATRY, REHAB SERVICES, IMAGING & RADIOLOGY, AND LABRATORY STOUGHTON - 1524 TURNPIKE STREET 1524 TURNPIKE STREET STOUGHTON MA 02072 PRIMARY CARE, AND PEDIATRICS SCHEDULE H, PART V, SECTION B, LINE 11 HOW HOSPITAL FACILITY IS ADDRESSING NEEDS IDENTIFIED IN CHNA RISKY BEHAVIORS AND HEALTH SCREENINGS: SIGNATURE HEALTHCARE EMERGENCY DEPARTMENT PHYSICIANS WORK WITH LOCAL POLICE AND FIRE DEPARTMENTS PROVIDING TRAINING AND MEDICAL GUIDANCE. THE ED PHYSICIANS ALSO PROVIDE LECTURES TO STUDENTS, PARENTS, TEACHERS AND OTHER HEALTHCARE PROFESSIONALS ON SUBSTANCE USE AND OTHER HEALTH CONCERNS FACING OUR AREA YOUTH. SIGNATURE HEALTHCARE AND DR. DAN MUSE HAVE ESTABLISHED A VERY CLOSE RELATIONSHIP WITH THE CITY OF BROCKTON. DR. MUSE IS A SIGNATURE HEALTHCARE ED PHYSICIAN AND SERVES AS EMS MEDICAL DIRECTOR AND ADVISOR FOR BOTH FIRE AND POLICE FOR 13 LOCAL TOWNS, INCLUDING THE CITY OF BROCKTON. IN THIS ROLE, DR. MUSE ADVISES AND EDUCATES THE MUNICIPALITIES ON EMERGENCY MEDICAL MANAGEMENT. HE ALSO SERVES AS MEDICAL DIRECTOR FOR THE BROCKTON FIRE DEPARTMENT DISPATCH AND HOLBROOK REGIONAL DISPATCH CENTER. FOR THE LAST SEVERAL YEARS, DR. MUSE HAS WORKED CLOSELY WITH LOCAL POLICE AND FIRE ON SPECIAL PROGRAMS IN THEIR DEPARTMENTS AND TOWNS. DR. MUSE CONTINUES HIS CLOSE COLLABORATION WITH THE NORFOLK AND PLYMOUTH COUNTY DISTRICT ATTORNEY'S OFFICES. HE HAS BEEN PART OF WORK FOCUSING ON HUMAN TRAFFICKING, DRUG ENDANGERED CHILDREN, ADVERSE CHILDHOOD EVENTS AND UNATTENDED CHILD DEATHS. WITHIN THE SIGNATURE HEALTHCARE EMERGENCY DEPARTMENT OVERDOSE PATIENTS RECEIVE NASAL NARCAN, A LIST OF DETOX FACILITIES AND COUNSELING. THE ED PHYSICIANS ARE ALSO LIMITING THE NUMBER OF NARCOTICS THEY PRESCRIBE TO PATIENTS. THEY WILL NOT FILL LOST PRESCRIPTIONS AND ARE ADVANCING USE OF THE STATE'S "PRESCRIPTION MONITORING PROGRAM." CHRONIC DISEASE: BASED ON THE FINDINGS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, SIGNATURE HEALTHCARE CONTINUES OFFERING FREE EXERCISE CLASSES. SIGNATURE HEALTHCARE OFFERS FREE YOGA CLASSES TO THE COMMUNITY AND EMPLOYEES EVERY WEEK, TO COMBAT COST AND SAFETY CONCERNS CITED AS REASONS FOR A SEDENTARY COMMUNITY. SIGNATURE HEALTHCARE CONTINUES TO WORK WITH "BLESSINGS IN A BACKPACK A PROGRAM THAT SUPPORTS CHILDREN WHO ARE ON THE FREE AND REDUCED BREAKFAST AND LUNCH PROGRAM WITHIN BROCKTON PUBLIC SCHOOLS. IN FY25, SIGNATURE HEALTHCARE RAN A FOOD DRIVE TO SUPPORT THIS ORGANIZATION. SIGNATURE HEALTHCARE CONTINUES TO OFFER THE "SIGNATURE SERIES" TO LOCAL COUNCIL ON AGING SITES. THROUGHOUT FY25, SIGNATURE HEALTHCARE CLINICAL STAFF PROVIDED EDUCATION ON A VARIETY OF TOPICS SUCH AS SCREENINGS, DIGESTION ISSUES, URGENT CARE VS EMERGENCY ROOM USAGE AND OTHER TOPICS. MENTAL HEALTH: FOR 12 YEARS NOW, SIGNATURE HEALTHCARE HAS OFFERED YOGA CLASSES AT NO COST TO OUR COMMUNITY. THESE CLASSES ARE HELD VIRTUALLY AND PROVIDE ATTENDEES THE OPPORTUNITY TO MEDITATE AND STRETCH. SIGNATURE HEALTHCARE WORKS WITH LOCAL SENIOR CENTERS AND ADULT DAY HEALTH CENTERS AS PART OF THE "SIGNATURE SERIES". THIS IS AN EDUCATION PRESENTATION TO OUR LOCAL SENIORS TO PROVIDE THEM WITH THE RESOURCES THEY NEED TO DEAL WITH MENTAL HEALTH AMONGST OTHER HEALTH CONCERNS SUCH AS DIGESTION, ED/URGENT CARE USE AND SCREENINGS. TRANSPORTATION: THE NEED FOR TRANSPORTATION ASSISTANCE CONTINUES TO GROW SINCE SIGNATURE HEALTHCARE BEGAN HELPING WITH THIS NEED IN THE LATE 1990'S. PATIENTS WHO ARE HOSPITALIZED OR TREATED IN THE EMERGENCY DEPARTMENT ARE MOST OFTEN SENT BY AMBULANCE AND DO NOT HAVE PHYSICAL OR FINANCIAL MEANS TO GET HOME WHEN THEY ARE DISCHARGED. SIGNATURE HEALTHCARE'S SENATOR THOMAS P. KENNEDY PATIENT ADVOCACY FUND IS AN EXCELLENT BENEFIT FOR OUR PATIENTS. GIVEN THE LACK OF SUPPORT SYSTEMS IN PLACE FOR MANY OF OUR PATIENTS, FUNDING IS OFTEN USED TO PROVIDE TRANSPORTATION AND OTHER AID, RANGING FROM GIFT CARDS FOR FOOD AND INCIDENTALS TO CO-PAYS FOR MEDICAL VISITS, UTILITY, RENT, AND MORE. IN FY25, FUNDING WAS USED TO ASSIST HUNDREDS OF PATIENETS WITH TRANSPORTATION, BY PROVIDING ONE-WAY RIDES TO AND FROM MEDICAL APPOINTMENTS, AND ADDITIONAL PATIENTS WERE ASSITED WITH OTHER NEEDS. SCHEDULE H, PART V, SECTION B, LINE 16 16H THE HOSPITAL, IN COLLABORATION WITH LOCAL NOT FOR PROFIT ORGANIZATIONS SUCH AS THE UNITED WAY AND MASSASOIT COMMUNITY COLLEGE, MAINTAINS COPIES OF ITS ONE PAGE PLAIN LANGUAGE SUMMARY FINANCIAL ASSISTANCE POLICY ON-SITE AT THESE ORGANIZATIONS IN AN EFFORT TO NOTIFY MEMBERS OF ITS COMMUNITIES WHO ARE MOST LIKELY IN NEED OF FINANCIAL ASSISTANCE ABOUT THE AVAILABILITY OF SUCH ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 16 16J WHEN REGISTERING FOR SERVICES OR IF RECEIVING A BILL, THE HOSPITAL ENCOURAGES PATIENTS TO CONTACT STAFF TO DETERMINE IF THEY AND/OR A FAMILY MEMBER ARE IN NEED OF AND ELIGIBLE FOR FINANCIAL ASSISTANCE. THE HOSPITAL POSTS GENERAL NOTICES AT SERVICE DELIVERY AREAS WHERE THERE IS REGISTRATION OR A CHECK-IN AREA (INCLUDING, BUT NOT LIMITED TO INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENTS AND AFFILIATED HEALTH CENTER LOCATIONS, CERTIFIED APPLICATION COUNSELORS ("CAC") OFFICES AND IN GENERAL BUSINESS OFFICE AREAS CUSTOMARILY USED BY PATIENTS THAT INFORM PATIENTS ABOUT THE AVAILABILITY OF PUBLIC ASSISTANCE AND HOSPITAL FINANCIAL ASSISTANCE AS WELL AS THE LOCATIONS WITHIN THE HOSPITAL AND/OR THE PHONE NUMBERS TO CALL TO SCHEDULE AN APPOINTMENT WITH A CAC. SCHEDULE H, PART I, LINE 6A THE COMMUNITY BENEFIT REPORT IS MADE AVAILABLE AT HTTPS://SIGNATURE-HEALTHCARE.ORG/COMMUNITY-BENEFITS. SCHEDULE H, PART V, SECTION B, LINE 22 THE FOLLOWING DISCLOSURE IS IN ACCORDANCE WITH REVENUE PROCEDURE 2015-21 SECTION 7 REGARDING SCHEDULE H, PART V, LINE 22. BROCKTON HOSPITAL IDENTIFIED AN ERROR REGARDING AN OMISSION OF AN ELEMENT REQUIRED TO BE DISCLOSED IN THE FINANCIAL ASSISTANCE POLICY PURSUANT TO IRC SECTION 501(R)(4). THE POLICY DID NOT PROVIDE AN EXPLANATION OF THE BASIS THAT BROCKTON HOSPITAL USED TO CALCULATE AMOUNTS CHARGED TO PATIENTS. THIS OMISSION WAS DISCOVERED DURING A REVIEW OF THE POLICY IN AUGUST 2026. THIS ERROR WAS MINOR AND INADVERTENT. BROCKTON HOSPITAL IS TAKING IMMEDIATE ACTION TO CORRECT THE ERRORS BY UPDATING THE POLICY TO INCLUDE THE REQUIRED LANGUAGE AND WORKING TO CONFIRM NO INDIVIDUAL WHO WAS ELIGIBLE UNDER BROCKTON HOSPITAL'S FINANCIAL ASSISTANCE POLICY WAS BILLED INCORRECT AMOUNTS OR OTHERWISE IMPACTED BY THESE ERRORS. BROCKTON HOSPITAL CONSIDERS THESE ERRORS TO BE "MINOR" OMISSIONS AND EITHER INADVERTENT OR DUE TO REASONABLE CAUSE UNDER APPLICABLE IRC SECTION 501(R) REGULATIONS AND INTERPRETATIONS, DUE TO THE FACTORS NOTED ABOVE. BROCKTON HOSPITAL IS CHOOSING TO PROACTIVELY DISCLOSE THE ABOVE IDENTIFIED FAILURE IN ACCORDANCE WITH REVENUE PROCEDURE 2015-21 TO CORRECT AND DISCLOSE IDENTIFIED FAILURES TO MEET THE REQUIREMENTS OF IRC SECTION 501(R). ACCORDINGLY, BROCKTON HOSPITAL HAS NOT FILED AN EXCISE TAX RETURN OR PAID ANY RELATED TAX IMPOSED UNDER IRC SECTION 4959. BROCKTON HOSPITAL IS IN THE PROCESS TO PUT PROCEDURES IN PLACE TO ADDRESS AND MONITOR ITS COMPLIANCE WITH THE REQUIREMENTS OF IRC SECTION 501(R). TO BE FULLY TRANSPARENT, BROCKTON HOSPITAL HAS CHOSEN TO PROACTIVELY DISCLOSE THESE MINOR OMISSIONS AND ERRORS ON THIS FORM 990. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE COSTS FOR FIGURES USED IN THE LINE 7 TABLE ARE DERIVED USING WORKSHEETS 1-3. DIRECT COSTS FOR 7E AND 7I, AND THE HOSPITAL'S COST ACCOUNTING SYSTEM FOR 7F-G. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES SIGNATURE HEALTHCARE COLLABORATES WITH AND SUPPORTS SURROUNDING AREA ORGANIZATIONS BOTH FINANCIALLY AND WITH OUR CLINICAL EXPERTISE. WE BELIEVE THAT BY SUPPORTING AND WORKING WITH COMMUNITY PARTNERS, WE ARE ABLE TO MAKE A LARGER IMPACT ON THE OVERALL HEALTH OF OUR COMMUNITY. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT THE HOSPITAL USED THE RATIO OF ITS TOTAL COSTS TO CHARGES FROM WORKSHEET 2 TO CALCULATE THE AMOUNT OF BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY THE HOSPITAL USED THE RATIO OF ITS TOTAL COSTS TO CHARGES FROM WORKSHEET 2 TO CALCULATE THE AMOUNT OF BAD DEBT EXPENSE FOR THOSE PATIENTS ELIGIBLE FOR CHARITY CARE. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS EQUAL TO ESTIMATED BAD DEBT LOSSES. THE ESTIMATED LOSSES ARE BASED ON HISTORICAL COLLECTION EXPERIENCE TOGETHER WITH A REVIEW OF THE CURRENT STATUS OF EXISTING RECEIVABLES. THIS FOOTNOTE IS FOUND ON PAGE 21-25 OF THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS THE HOSPITAL CONTINUES TO SERVE ITS VULNERABLE INDIGENT POPULATION AMIDST RISING COSTS WHILE MANY AREAS OF REIMBURSEMENT CONTINUE TO ERODE. THE CHANGE IN DSH PAYMENT METHODOLOGY, AS ONE SIGNIFICANT EXAMPLE, HAS REDUCED THE HOSPITAL'S DSH PAYMENT BY NEARLY HALF OF WHAT IT WAS UNDER THE FORMER METHODOLOGY. THE HOSPITAL USES THE MEDICARE COST REPORT AS THE COST ACCOUNTING SYSTEM TO CALCULATE ITS MEDICARE COSTS. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE THE FOLLOWING PATIENT POPULATIONS ARE EXEMPT FROM ANY COLLECTION OR BILLING PROCEDURES PURSUANT TO STATE REGULATIONS AND POLICIES: PATIENTS ENROLLED IN A PUBLIC HEALTH INSURANCE PROGRAM, INCLUDING BUT NOT LIMITED TO, MASSHEALTH, EMERGENCY AID TO THE ELDERLY, DISABLED AND CHILDREN (EAEDC), CHILDREN'S MEDICAL SECURITY PLAN (CMSP), IF MAGI INCOME IS EQUAL TO OR LESS THAN 300% OF THE FPL; LOW INCOME PATIENTS AS DETERMINED BY MASSHEALTH AND SAFETY NET, INCLUDING THOSE WITH MAGI HOUSEHOLD INCOME OR MEDICAL HARDSHIP FAMILY COUNTABLE INCOME BETWEEN 150.1% TO 300% OF THE FPL; AND MEDICAL HARDSHIP, SUBJECT TO THE FOLLOWING EXCEPTIONS: (A) THE HOSPITAL MAY SEEK COLLECTION ACTION AGAINST ANY PATIENT ENROLLED IN THE ABOVE MENTIONED PROGRAMS FOR THEIR REQUIRED CO-PAYMENTS AND DEDUCTIBLES THAT ARE SET FORTH BY EACH SPECIFIC PROGRAM; (B) THE HOSPITAL MAY ALSO INITIATE BILLING OR COLLECTION FOR A PATIENT WHO ALLEGES THAT HE OR SHE IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM THAT COVERS THE COSTS OF THE HOSPITAL SERVICES, BUT FAILS TO PROVIDE PROOF OF SUCH PARTICIPATION. UPON RECEIPT OF SATISFACTORY PROOF THAT A PATIENT IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM (INCLUDING RECEIPT OR VERIFICATION OF SIGNED APPLICATION) THE HOSPITAL SHALL CEASE ITS BILLING OR COLLECTION ACTIVITIES; (C) THE HOSPITAL MAY CONTINUE COLLECTION ACTION ON ANY LOW INCOME PATIENT FOR SERVICES RENDERED PRIOR TO THE LOW INCOME PATIENT DETERMINATION, PROVIDED THAT THE CURRENT LOW INCOME PATIENT STATUS HAS BEEN TERMINATED EXPIRED OR NOT OTHERWISE IDENTIFIED ON THE STATE ELIGIBILITY VERIFICATION SYSTEM OR MEDICAID MANAGEMENT INFORMATION SYSTEM. HOWEVER, ONCE A PATIENT IS DETERMINED ELIGIBLE AND ENROLLED IN MASSHEALTH THE PREMIUM ASSISTANCE PROGRAM OPERATED BY THE HEALTH CONNECTOR, THE CHILDREN'S MEDICAL SECURITY PLAN OR MEDICAL HARDSHIP, THE HOSPITAL WILL CEASE COLLECTION ACTIVITY FOR SERVICES (WITH THE EXCEPTION OF ANY COPAYMENTS AND DEDUCTIBLES) PROVIDED PRIOR TO THE BEGINNING OF THEIR ELIGIBILITY. (D) THE HOSPITAL MAY SEEK COLLECTION ACTION AGAINST ANY OF THE PATIENTS PARTICIPATING IN THE PROGRAMS LISTED ABOVE FOR NON-COVERED SERVICES THAT THE PATIENT HAS AGREED TO BE RESPONSIBLE FOR, PROVIDED THAT THE HOSPITAL OBTAINED THE PATIENT'S PRIOR WRITTEN CONSENT TO BE BILLED FOR SUCH SERVICE(S). HOWEVER, EVEN IN THESE CIRCUMSTANCES THE HOSPITAL MAY NOT BILL THE PATIENT FOR CLAIMS RELATED TO MEDICAL ERRORS OR CLAIMS DENIED BY THE PATIENT'S PRIMARY INSURER DUE TO AN ADMINISTRATIVE OR BILLING ERROR. SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE - SIGNATURE HEALTHCARE BROCKTON HOSPITAL: LINE 16A URL: HTTPS://SIGNATURE-HEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE - SIGNATURE HEALTHCARE BROCKTON HOSPITAL: LINE 16B URL: HTTPS://SIGNATURE-HEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE - SIGNATURE HEALTHCARE BROCKTON HOSPITAL: LINE 16C URL: HTTPS://SIGNATURE-HEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT SIGNATURE HEALTHCARE WORKS COLLABORATIVELY WITH NUMEROUS COMMUNITY SOCIAL SERVICE AGENCIES TO COORDINATE PUBLIC HEALTH INITIATIVES TO ADDRESS THE NEEDS OF THE AT-RISK POPULATION. SIGNATURE HEALTHCARE FOLLOWS THE GUIDELINES BY PARTICIPATING IN A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. WE USE A MULTI-PRONGED APPROACH TO THESE ASSESSMENTS THAT INCLUDES: CONDUCTING KEY INFORMANT INTERVIEWS WITH PEOPLE WHO WORK WITHIN OUR SERVICE AREA TO DETERMINE HOW THE NEEDS OF THE RESIDENTS ARE MET, BY REVIEWING EXISTING PROGRAMS/STRATEGIES AND SERVICES IN THE AREA, BY ANALYZING DATA TO DETERMINE HOW HEALTH OUTCOMES IN THE CITY AND SURROUNDING TOWNS COMPARED TO THE STATE AVERAGE AND LASTLY BY ORGANIZING IN FOCUS GROUPS TO EXAMINE PERCEPTIONS ON HOW PARTICULAR ISSUES IMPACT THOSE INDIVIDUALS. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE FOR THOSE INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK WITH PATIENTS TO ASSIST THEM IN APPLYING FOR PUBLIC ASSISTANCE AND/OR HOSPITAL FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER SOME OR ALL OF THEIR UNPAID HOSPITAL BILLS. IN ORDER TO HELP UNINSURED AND UNDERINSURED INDIVIDUALS FIND AVAILABLE AND APPROPRIATE OPTIONS THE HOSPITAL WILL PROVIDE ALL INDIVIDUALS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PUBLIC ASSISTANCE AND FINANCIAL ASSISTANCE PROGRAMS DURING THE PATIENT'S INITIAL IN PERSON REGISTRATION AT A HOSPITAL LOCATION FOR A SERVICE, IN ALL BILLING INVOICES THAT ARE SENT TO A PATIENT OR GUARANTOR AND WHEN THE PROVIDER IS NOTIFIED OR THROUGH ITS OWN DUE DILIGENCE BECOMES AWARE OF A CHANGE IN THE PATIENT' S ELIGIBILITY STATUS FOR PUBLIC OR PRIVATE INSURANCE COVERAGE. IN ADDITION, THE HOSPITAL ALSO POSTS GENERAL NOTICES AND MAKES PAPER COPIES OF THE FAP DOCUMENTS AVAILABLE UPON REQUEST AND WITHOUT CHARGE BOTH BY MAIL AND AT SERVICE DELIVERY AREAS WHERE THERE IS A REGISTRATION OR CHECK-IN AREA (INCLUDING, BUT NOT LIMITED TO, INPATIENT, OUTPATIENT EMERGENCY DEPARTMENTS, AND AFFILIATED COMMUNITY HEALTH CENTER LOCATIONS), IN CERTIFIED APPLICATION COUNSELOR ("CAC") OFFICES AND IN GENERAL BUSINESS OFFICE AREAS THAT ARE CUSTOMARILY USED BY PATIENTS (E.G. ADMISSIONS AND REGISTRATION AREAS OR PATIENT FINANCIAL SERVICES OFFICES THAT ARE ACTIVELY OPEN TO THE PUBLIC). IN ADDITION, THE HOSPITAL POSTS NOTICES IN LOCAL COMMUNITY HEALTH CENTERS, SENIOR AND EDUCATION FACILITIES. THE GENERAL NOTICE WILL INFORM THE PATIENT ABOUT THE AVAILABILITY OF PUBLIC ASSISTANCE AND HOSPITAL FINANCIAL ASSISTANCE (INCLUDING MASSHEALTH, THE PREMIUM ASSISTANCE PAYMENT PROGRAM OPERATED BY THE HEALTH CONNECTOR, THE CHILDREN'S MEDICAL SECURITY PROGRAM, THE HEALTH SAFETY NET AND MEDICAL HARDSHIP) AS WELL AS THE LOCATION (S) WITHIN THE HOSPITAL AND/OR THE PHONE NUMBERS TO CALL TO SCHEDULE AN APPOINTMENT WITH A CAC. INFORMATION ABOUT APPLYING FOR FINANCIAL ASSISTANCE IS ALSO AVAILABLE ONLINE AT WWW.SIGNATURE-HEALTHCARE.ORG. THE GOAL OF THESE NOTICES IS TO ASSIST INDIVIDUALS IN APPLYING FOR COVERAGE WITHIN ONE OR MORE OF THESE PROGRAMS. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION SHBH SERVES OVER 100,000 PATIENTS ON AN ANNUAL BASIS. AS A DISPROPORTIONATE SHARE HOSPITAL AND THE HUB AND SOLE HOSPITAL OF SIGNATURE HEALTHCARE, WE PROVIDE A FULL RANGE OF PRIMARY AND SPECIALTY CARE SERVICES FOR ECONOMICALLY DISADVANTAGED AND AT-RISK INDIVIDUALS. THE POVERTY IN OUR SERVICE AREA IS SO SEVERE (73% OF PATIENTS QUALIFY FOR GOVERNMENT INSURANCE) AND RESIDENTS LACK RESOURCES FOR BASIC LIVING EXPENSES. ADD TO THAT THE FEAR OF NAVIGATING A CANCER DIAGNOSIS. OUR SERVICE AREA ALSO INCLUDES LARGE NUMBERS OF IMMIGRANT AND FIRST-GENERATION FAMILIES FROM HAITI AND CAPE VERDE AMONG OTHERS FOR WHOM ENGLISH IS A STRUGGLE. MASSACHUSETTS HAS THE HIGHEST CAPE VERDEAN POPULATION - OVER 70,000 - IN THE UNITED STATES. THE MAJORITY - ABOUT 18,500 - RESIDE IN BROCKTON, MASSACHUSETTS. *MASSACHUSETTS IS ALSO A TOP STATE IN THE UNITED STATES FOR HAITIAN POPULATION AT NEARLY 45,000 OF LEGAL RESIDENCE. THE BROCKTON AREA IS IN FACT HOME TO THE LARGEST HAITIAN COMMUNITY IN THE UNITED STATES. (*SOURCE: INTERNATIONAL INSTITUTE OF NEW ENGLAND) WITH EXTENSIVE TRANSLATION SERVICES, A HIGH PERCENTAGE OF STAFF WHO SPEAK MORE THAN ONE LANGUAGE AND A FULL UNDERSTANDING OF THE MULTICULTURAL POPULATION IN OUR COMMUNITIES, SHBH IS UNIQUELY ABLE TO ASSIST PATIENTS AND THEIR FAMILIES THROUGHOUT THE COMMUNITIES WE SERVE. THE IMPORTANCE OF CLEAR COMMUNICATION, SUPPORT AND ACCESS TO QUALITY CARE WHEN FACING A MEDICAL CHALLENGE CANNOT BE OVERSTATED. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH THE HOSPITAL FACILITIES ARE FOR PROVIDERS IN THE COMMUNTIES TO DELIVER HEALTH CARE SERVICES ALONG WITH IT SISTER ENTITY SIGNATURE MEDICAL GROUP, THIS INCLUDES PRIMARY CARE AND SPECIALTIES SUCH AS ONCOLOGY, OB/GYN, CARDIOLOGY, ORTHOPEDICS, EYE SERVICES TO NAME A FEW, ALL OF WHICH SUPPORT THE MISSION OF THE SYSTEM. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM BROCKTON HOSPITAL (BH) IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. UNDER THE CONTROL OF ITS PARENT ORGANIZATION, SIGNATURE HEALTHCARE CORPORATION, INC. (SHC) AFFILIATES BH, SIGNATURE HEALTHCARE MEDICAL GROUP, INC. (SMG), AND SIGNATURE HEALTHCARE URGENT CARE, INC. (SHUC) COORDINATE THE PROVISION OF HEALTH CARE AND RELATED SERVICES TO THE RESIDENTS OF BROCKTON AND ITS SURROUNDING CITIES AND TOWNS. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT MA false true false false false false false false false ROBERT J HAFFEY CHIEF EXECUTIVE OFFICER; PRESIDENT & CLERK 707794 0 149811 0 57064 0 56822 0 50462 0 1021953 0 0 0 DAVID DRINKWATER MD PHYSICIAN, TRUSTEE 0 601572 0 65149 0 55822 0 6900 0 39481 0 768924 0 0 LAURA GRIFFIN MD PRESIDENT, MEDICAL STAFF (EFF. 02/25)) 0 434677 0 20990 0 46686 0 6621 0 904 0 509878 0 0 DEEPTI SESHADRI MD PRESIDENT, MEDICAL STAFF (UNTIL 01/25) 0 272006 0 0 0 23294 0 5900 0 54 0 301254 0 0 JASON M RADZEVICH CHIEF FINANCIAL OFFICER & TREASURER 444941 0 72452 0 31695 0 39676 0 33920 0 622684 0 0 0 KIMBERLY WALSH SENIOR VICE PRESIDENT/ CHIEF OPERATING OFFICER 351901 0 20350 0 56264 0 25875 0 19929 0 474319 0 0 0 BEVERLY CAPECE ASSOCIATE VICE PRESIDENT FINANCE 199548 0 13249 0 32489 0 17972 0 39477 0 302735 0 0 0 MELISSA DEMAYO VICE PRES. QUALITY, CHIEF QUALITY OFFICER (UNTIL 4/17/25) 195882 0 23279 0 39694 0 14449 0 30115 0 303419 0 0 0 JUSSI J MAIJALA CHIEF HUMAN RESOURCES OFFICER 298553 0 17851 0 55906 0 14782 0 22996 0 410088 0 0 0 JEFFREY C MILLER VICE PRESIDENT DEVELOPMENT 202023 0 13125 0 57258 0 15750 0 37977 0 326133 0 0 0 KAREN E MURPHY SENIOR VICE PRESIDENT, CHIEF LEGAL OFFICER 403254 0 22826 0 55598 0 20700 0 7069 0 509447 0 0 0 SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION THE ORGANIZATION'S BOARD OF TRUSTEES STANDING COMPENSATION COMMITTEE IS EMPOWERED BY THE BOARD OF TRUSTEES TO REVIEW AND APPROVE ALL MATTERS PERTAINING TO COMPENSATION AND SHALL REPORT ALL ACTIONS TAKEN BY IT ON THESE MATTERS TO THE BOARD OF TRUSTEES. THE COMPENSATION COMMITTEE SHALL REVIEW AND APPROVE THE OVERALL COMPENSATION PHILOSOPHY FOR THE HOSPITAL PRESIDENT AND CEO, MEMBERS OF THE HOSPITAL SENIOR MANAGEMENT TEAM, PHYSICIAN COMPENSATION FOR SMG AND HOSPITAL CHIEFS OF SERVICE, AND ANY INDIVIDUAL WHO FALLS WITHIN THE INTERNAL REVENUE SERVICE DEFINITION OF A DISQUALIFIED PERSON AND SHALL BE RESPONSIBLE FOR THE GENERAL OVERSIGHT OF ALL COMPENSATION RELATED DECISIONS WITH THE EXCEPTION OF THOSE INDIVIDUALS WHOSE SALARY AND BENEFITS ARE SUBJECT TO COLLECTIVE BARGAINING AGREEMENTS. THE COMMITTEE WILL BE RESPONSIBLE FOR REVIEWING, AT LEAST EVERY 3 YEARS, THE OVERALL COMPENSATION RANGE OF THE HOSPITAL AND ITS AFFILIATES AS COMPARED TO COMPARABLE ORGANIZATIONS AND SHALL ESTABLISH THE GENERAL PERCENTILE FOR AVERAGE COMPENSATION IN MAKING THIS DETERMINATION. THE COMMITTEE SHALL ENGAGE A BENEFIT CONSULTING FIRM TO CONDUCT MARKET ANALYSIS BASED ON THE RECOMMENDATIONS OF THE VICE PRESIDENT OF HUMAN RESOURCES. THE COMMITTEE SHALL HAVE THE POWER TO: APPROVE ALL FINAL DETERMINATIONS WITH RESPECT TO COMPENSATION; RETAIN AND TERMINATE A QUALIFIED COMPENSATION CONSULTANT TO ASSIST IN THE ASSESSMENT OF COMPENSATION; AND RETAIN AND TERMINATE LEGAL, ACCOUNTING OR OTHER EXPERTS NECESSARY TO CARRY OUT ITS DUTIES. THE MINUTES OF THE COMPENSATION COMMITTEE SHALL REFLECT THE DELIBERATIONS AND DECISIONS OF THE COMMITTEE. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE CORPORATION MAINTAINS A 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR ACTIVELY EMPLOYED ELIGIBLE PHYSICIANS. EMPLOYEES WILL BE VESTED IN THE CONTRIBUTION FOR A PLAN YEAR ON JANUARY 1 TEN YEARS FROM THE YEAR IN WHICH EMPLOYEE CONTRIBUTIONS ARE MADE OR ON JANUARY 1 IN THE YEAR IN WHICH THEY REACH THE RETIREMENT AGE OF 65 AND HAVE TWO YEARS OF PLAN SERVICE. NO DISTRIBUTIONS WERE MADE IN FY25. SCHEDULE J, PART II, COLUMN (D) DEFINED BENEFIT PLAN THE HOSPITAL MAINTAINS TWO DEFINED BENEFIT PENSION PLANS COVERING HOSPITAL EMPLOYEES WITH AT LEAST ONE YEAR OF SERVICE. PRIOR TO JANUARY 2016, ALL PARTICIPANTS WERE COVERED BY ONE PLAN. EFFECTIVE JANUARY 2016, ALL INACTIVE PARTICIPANTS AND ACTIVE PARTICIPANTS WITH FROZEN BENEFITS WERE SPUN OFF TO A NEW PLAN, THE SIGNATURE HEALTHCARE RETIREMENT PLAN. THE REMAINING PLAN IS FOR ACTIVE PARTICIPANTS WHO CONTINUE TO ACCRUE BENEFITS. IN DECEMBER 2008, THE BOARD APPROVED AMENDMENTS TO FREEZE THE PENSION PLANS FOR CERTAIN EMPLOYEES EFFECTIVE MARCH 2009, AFTER WHICH NO BENEFIT WILL ACCRUE FOR THOSE EMPLOYEES. EFFECTIVE 2012 AND 2014, ANY NEW HIRES COVERED BY THE SERVICE EMPLOYEES INTERNATIONAL UNION AND MASSACHUSETTS NURSES ASSOCIATION AGREEMENTS, RESPECTIVELY, ARE NOT ELIGIBLE TO PARTICIPATE IN THE PENSION PLANS. ON AUGUST 29, 2024 THE BOARD OF TRUSTEES OF BROCKTON HOSPITAL, INC. VOTED TO TERMINATE SIGNATURE HEALTHCARE RETIREMENT PLAN C AS OF DECEMBER 1, 2024 OR AS SOON AS PRACTICABLE. PARTICIPANTS WERE OFFERED THE CHOICE OF AN IMMEDIATE LUMP-SUM CASH OUT (ALL PARTICIPANTS), A CONTINUED ANNUITY (RETIREES IN PAY), DEFERRED ANNUITY (ACTIVE AND VESTED TERMINATED PARTICIPANTS) OR AN IMMEDIATE ANNUITY (ACTIVE AND VESTED TERMINATED PARTICIPANTS). THE TERMINATION PROCESS WAS FULLY COMPLETED BY JULY 31, 2025. SCHEDULE J, PART II, COLUMN (D) DEFINED CONTRIBUTION PLAN IN APRIL 2009, THE CORPORATION IMPLEMENTED A DEFINED CONTRIBUTION 403(B) PLAN FOR CERTAIN HOSPITAL EMPLOYEES AND IN OCTOBER 2010, THE PLAN WAS MADE AVAILABLE TO CERTAIN SIGNATURE HEALTHCARE MEDICAL GROUP EMPLOYEES. THE CORPORATION MAINTAINS CONTRIBUTORY, DEFINED CONTRIBUTION PLANS THAT ARE AVAILABLE TO EMPLOYEES WHO MEET CERTAIN MINIMUM REQUIREMENTS. THE PLANS REQUIRE THAT THE CORPORATION MATCH SPECIFIED PERCENTAGES OF PARTICIPANT CONTRIBUTIONS UP TO CERTAIN MAXIMUM LEVELS. THE CORPORATION'S CONTRIBUTIONS WERE FUNDED PERIODICALLY DURING THE YEAR. SCHEDULE J, PART II, COLUMN (D) DEFERRED COMPENSATION PLANS THE CORPORATION MAINTAINS A 457(B) DEFERRED COMPENSATION PLAN WHICH COVERS KEY EMPLOYEES. UNDER THIS PLAN, EMPLOYEES MAY ELECT TO DEFER A PORTION OF THEIR COMPENSATION. THE CORPORATION MAINTAINS A 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR ACTIVELY EMPLOYED ELIGIBLE PHYSICIANS. EMPLOYEES WILL BE VESTED IN THE CONTRIBUTION FOR A PLAN YEAR ON JANUARY 1 TEN YEARS FROM THE YEAR IN WHICH EMPLOYEE CONTRIBUTIONS ARE MADE OR ON JANUARY 1 IN THE YEAR IN WHICH THEY REACH THE RETIREMENT AGE OF 65 AND HAVE TWO YEARS OF PLAN SERVICE. SCHEDULE J, PART II, COLUMN (D) THE CORPORATION IS SELF-INSURED FOR ITS MEDICAL AND DENTAL INSURANCE PLANS. A MASSACHUSETTS DEVELOPMENT FINANCE AGENCY (MDFA) 043431814 NONEAVAIL 2017-12-21 50047441 REFINANCE DEBT ISSUED 9/30/2014 AND FINANCE CONSTRUCTION, RENOVATIONS AND ACQUISITIONS OF CAPITAL EQ false false false B MASSACHUSETTS DEVELOPMENT FINANCE AGENCY (MDFA) 043431814 NONEAVAIL 2021-08-23 20000000 ACQUIRE PROPERTY false false false C MASSACHUSETTS DEVELOPMENT FINANCE AGENCY (MDFA') 043431814 NONEAVAIL 2022-05-12 19400000 CONSOLIDATE EXISTING DEBT AND FINANCE CONSTRUCTION/RENOVATIONS FOR ASC AND ED UNITS. false false false A 50047441 483298 8376978 41670863 2019 true false true true B 20000000 631570 19368430 2021 false false true true C 19400000 378520 10793445 8606555 2022 false false true true A true true true true false false 0.0071 0 0.0071 false false 0 false true B true true true true false false 0.0 0.0 0.0 false false 0 false true C false false true true false false 0.0 0.0 0.0 false false 0 false true A false true false false true false 0 false false false 0 false false true B false true false false false false 0 false false false 0 false false true C false true false false false false 0 false false false 0 false false true A true B true C true NICCOLI BROTHERS OIL FRED NICCOLI GREATER THAN 35% CONTROLLED ENTITY 18053 SUPPLIES PURCHASE false FORM 990, PART III, LINE 1 SIGNATURE HEALTHCARE BROCKTON HOSPITAL IS A PRIVATE, NOT-FOR-PROFIT, COMMUNITY-BASED TEACHING HOSPITAL SERVING MORE THAN 460,000 RESIDENTS IN MORE THAN 20 SOUTHEASTERN MASSACHUSETTS COMMUNITIES. OUR MISSION IS TO BE THE LEADING COMMUNITY BASED HEALTHCARE DELIVERY SYSTEM IN SOUTHEASTERN MASSACHUSETTS, PROVIDING THE FULL RANGE OF INTEGRATED PRIMARY CARE, SPECIALTY CARE, ACUTE HOSPITAL CARE AND RELATED ANCILLARY HEALTHCARE SERVICES. SIGNATURE HEALTHCARE PHYSICIANS AND SIGNATURE HEALTHCARE BROCKTON HOSPITAL STRIVE TO BE RECOGNIZED AS THE "PROVIDERS OF CHOICE" BY STAFF, PATIENTS AND THE COMMUNITY. SIGNATURE HEALTHCARE IS GUIDED BY THESE PRINCIPLES: - TAKE A LEADERSHIP ROLE IN ASSESSING THE HEALTH CARE NEEDS OF THE METRO SOUTH AREA BY COMMITTING TO A HOSPITAL-COMMUNITY PARTNERSHIP AND BY COLLABORATING WITH OTHER PROVIDERS AND COMMUNITY MEMBERS TO OFFER A BROAD RANGE OF EDUCATION, HEALTH SERVICES AND OTHER ACTIVITIES FOR ALL PATIENTS AND, IN PARTICULAR, THE UNDERSERVED AND DISADVANTAGED POPULATIONS. - DEVELOP NEW SERVICES AND PROGRAMS AND PARTICIPATE IN ALTERNATIVE DELIVERY AND REGIONAL HEALTH CARE SYSTEM TO RESPOND TO COMMUNITY NEED AND ENHANCE ACCESS TO CARE. - PARTICIPATE IN THE EDUCATION OF HEALTH CARE PROFESSIONALS TO ENHANCE THE HOSPITAL'S ACCESS TO MEDICAL EXPERTISE AND TO ASSURE THE MOST UP-TO-DATE APPROACHES FOR PROVIDING CARE. - COMMIT TO AN ELECTRONIC MEDICAL RECORD ENVIRONMENT AIMED AT (1) REDUCING MEDICAL ERRORS WITH MORE ACCURATE AND TIMELY INFORMATION FOR PROVIDERS, (II) ENHANCING PHYSICIAN PRODUCTIVITY AND JOB SATISFACTION, (III) RESPONDING TO CONSUMER REQUESTS FOR ELECTRONIC COMMUNICATION. - BE AN EQUITABLE EMPLOYER THAT VALUES AND REWARDS EXCELLENCE IN ITS ASSOCIATES. - MANAGE FINANCES AGGRESSIVELY TO REMAIN COST EFFECTIVE AND FISCALLY SOUND. PART OF SIGNATURE HEALTHCARE BROCKTON HOSPITAL'S COMMUNITY FOCUS, AND INDEED THE VERY CORE OF OUR MISSION, IS TO CARE FOR THOSE IN GREATEST NEED. WE ARE ESPECIALLY PROUD OF OUR DISTINGUISHED, CENTURY-PLUS TRADITION OF REACHING OUT TO ALL PATIENTS IN OUR COMMUNITY. FROM EVERY WALK OF LIFE, REGARDLESS OF THEIR ABILITY TO PAY. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS SIGNATURE HEALTHCARE CORPORATION, A CHARITABLE ORGANIZATION ORGANIZED UNDER THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS, ACTING THROUGH ITS BOARD OF TRUSTEES, IS THE SOLE CORPORATE MEMBER. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY THE ORGANIZATION'S FORM 990 IS PREPARED BY AN OUTSIDE INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM AND IS PRESENTED TO AND REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER AND COPIES OF FORM 990 ARE PROVIDING TO EACH MEMBER OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES SHALL BE SUBMITTED TO THE PRESIDENT OR HIS DESIGNEE BY DECEMBER 1ST, PRIOR TO THE BEGINNING OF EACH CALENDAR YEAR, THE PRESIDENT OR HIS DESIGNEE SHALL, IN WRITING, ADVISE MEMBERS (TRUSTEES, SENIOR MANAGEMENT, DEPARTMENT MANAGERS AND PHYSICIANS) AND INDIVIDUALS ON THE MEDICAL EXECUTIVE COMMITTEE WHO ARE NOT MEMBERS OF THE CONFLICT OF INTEREST POLICY AND REQUEST THAT EACH INDIVIDUAL COMPLETE AND SUBMIT TO THE PRESIDENT OR HIS DESIGNEE, A QUESTIONNAIRE OUTLINING ANY POSSIBLE CONFLICTS OF INTEREST OR INDICATING THAT NO SUCH CONFLICT OF INTEREST EXISTS. THE PRESIDENT OR HIS DESIGNEE SHALL REVIEW ALL CONFLICT-OF-INTEREST QUESTIONNAIRES AND AT LEAST ANNUALLY DISCLOSE TO THE EXECUTIVE COMMITTEE THE RESULTS OF THE QUESTIONNAIRES. AT LEAST ANNUALLY THE PRESIDENT OR HIS DESIGNEE SHALL REQUEST A COMMITTEE OF THE BOARD TO REVIEW STANDARD RELATIONSHIPS WITH LOCAL BANKS, INSURANCE FIRMS, VENDORS AND OTHER ENTITIES SERVING THE INSTITUTION TO ASSURE THAT THE RELATIONSHIP IS IN THE BEST INTEREST OF THE INSTITUTION AND IS OTHERWISE CONSISTENT WITH THE TERMS OF THE CONFLICT-OF-INTEREST POLICY. ANY MEMBER HAVING A POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD NOT VOTE, USE HIS/HER PERSONAL INFLUENCE OR MAKE AN ADMINISTRATIVE DECISION ON THE MATTER, AND IN THE CASE OF A TRUSTEE, SHOULD NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE ACTION OF THE MATTER. THE MINUTES OF THE MEETING SHOULD REFLECT THAT A FULL AND ACCURATE DISCLOSURE WAS MADE, THAT THE MEMBER ABSTAINED FROM VOTING OR DECISION MAKING AND THE QUORUM OTHERWISE PRESENT. THE CONFLICT-OF-INTEREST POLICY SHALL BE REVIEWED ANNUALLY BY THE MEMBERS AND EACH NEW MEMBER SHALL BE ADVISED OF THE POLICY PRIOR TO THE INDIVIDUAL'S SELECTION AS A MEMBER AND SHALL BE REQUIRED TO FILE WITHIN 30 DAYS THEREAFTER A COMPLETED QUESTIONNAIRE. FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE STANDING COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF THE ORGANIZATION'S PARENT, SIGNATURE HEALTHCARE CORPORATION, SERVES AS THE COMPENSATION COMMITTEE OF THE ORGANIZATION AND IS EMPOWERED TO REVIEW AND APPROVE ALL MATTERS PERTAINING TO COMPENSATION AND SHALL REPORT ALL ACTIONS TAKEN BY IT ON THESE MATTERS TO THE BOARD OF TRUSTEES. ANNUALLY, THE COMPENSATION COMMITTEE ENGAGES AN INDEPENDENT COMPENSATION CONSULTING FORM TO PREPARE AN EXECUTIVE COMPENSATION PROGRAM FOR THE ORGANIZATION'S EXECUTIVE POSITIONS (CEO, CFO, AND VICE PRESIDENT) FOR REVIEW BY THE COMPENSATION COMMITTEE. THE MINUTES OF THE COMPENSATION COMMITTEE REFLECT THE DELIBERATIONS AND DECISIONS OF THE COMMITTEE. FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES THE STANDING COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF THE ORGANIZATION'S PARENT, SIGNATURE HEALTHCARE CORPORATION, SERVES AS THE COMPENSATION COMMITTEE OF THE ORGANIZATION AND IS EMPOWERED TO REVIEW AND APPROVE ALL MATTERS PERTAINING TO COMPENSATION AND SHALL REPORT ALL ACTIONS TAKEN BY IT ON THESE MATTERS TO THE BOARD OF TRUSTEES. ANNUALLY, THE COMPENSATION COMMITTEE ENGAGES AN INDEPENDENT COMPENSATION CONSULTING FORM TO PREPARE AN EXECUTIVE COMPENSATION PROGRAM FOR THE ORGANIZATION'S OTHER OFFICERS AND KEY EMPLOYEES FOR REVIEW BY THE COMPENSATION COMMITTEE. THE MINUTES OF THE COMPENSATION COMMITTEE REFLECT THE DELIBERATIONS AND DECISIONS OF THE COMMITTEE. FORM 990, PART VI, LINE 18 HOW FORMS ARE MADE AVAILABLE TO THE PUBLIC FORM 990 IS AVAILABLE FOR PUBLIC INSPECTION ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE LOCATED AT WWW.MASS.GOV. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ARTICLES OF ORGANIZATION ARE OPEN TO THE PUBLIC ON THE MASSACHUSETTS SECRETARY OF STATE'S WEBSITE AND THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. FORM 990, PART VIII, LINE 2F OTHER PROGRAM SERVICE REVENUE ALL OTHER PROGRAM SERVICE REVENUE - TOTAL REVENUE: 2261747, RELATED OR EXEMPT FUNCTION REVENUE: 2261747, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE ALL OTHER REVENUE - TOTAL REVENUE: 11535457, RELATED OR EXEMPT FUNCTION REVENUE: 11535457, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES PENSION-RELATED CHANGES - 13604637; NET ASSETS RELEASED FROM DONOR RESTRICTIONS - 6358449; CHANGE IN INTEREST IN NET ASSETS OF SHC - 453483; CHANGE IN FAIR VALUE OF SPLIT-INTEREST AGREEMENTS - 154884; TRANSFERS FROM (TO) AFFILIATES - -14899425; TOTAL - 5672028; SIGNATURE HEALTHCARE CORPORATION INC 680 CENTRE STREET BROCKTON MA 02302 042103554 MANAGEMENT & FUNDRAISING MA 501(C)(3) TYPE II NA false SIGNATURE HEALTHCARE MEDICAL GROUP INC 680 CENTRE STREET BROCKTON MA 02302 043306782 PHYSICIAN PRACTICE MA 501(C)(3) 10 SIGNATURE HEALTH CORPORATION INC false SIGNATURE HEALTHCARE URGENT CARE INC 680 CENTRE STREET BROCKTON MA 02302 991362817 URGENT CARE MA 501(C)(3) 10 SIGNATURE HEALTH CORPORATION INC false false false false false false false false true false true true true false false true true true true true